Halo Primary Care, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

HALO PRIMARY CARE, LLC

Practice address

40 Okatie Ctr Blvd Ste 215
Okatie, SC 29909-7507

Phone

(256) 453-6074

NPI assigned

Aug 12, 2021

Last updated

Oct 8, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bethany Gaultney, APRNNPI 1639687858

Title

Owner

Phone

(843) 603-4800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bethany Gaultney, APRN

  • Nurse Practitioner
  • Okatie, SC
  • NPI 1639687858
  Medicare reassignment Care Compare group NPD Authorized official
• Katherine Blume Turbeville, APRN

  • Family Nurse Practitioner
  • West Columbia, SC
  • NPI 1902329477
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1639844509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 OKATIE CENTER BLVD S STE 301",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299097507",
            "telephone_number": "843-603-4800",
            "fax_number": "843-603-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OKATIE CTR BLVD STE 215",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097507",
            "telephone_number": "256-453-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "GAULTNEY",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-603-4800",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Renell Goethie-Lyons, APRN, MSN, FNP-BC
• Heather Jean Goldberg, PSYD
• Golf Cart Chiropractic, LLC
• Anna Nicole Gray, FNP-BC
• Donna M Hall, PT
• Lachiana A Hamilton, ARNP
• Harbor Point Dentistry, LLC
• Jonathan Carl Harroff, DDS
• Heart Associate of Hilton Head PC
• Helene Stoller, Psy.D., L.P.

• Primary Care Nurse Practitioner in Okatie, SC
• Providers in Okatie, SC by specialty
• Primary Care Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.